Healthcare Provider Details

I. General information

NPI: 1548854912
Provider Name (Legal Business Name): ALANEE ESPARZA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/25/2021
Last Update Date: 02/25/2021
Certification Date: 02/25/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1601 NEW STINE RD STE 100
BAKERSFIELD CA
93309-3698
US

IV. Provider business mailing address

13115 SOLARIO LN
BAKERSFIELD CA
93306-7665
US

V. Phone/Fax

Practice location:
  • Phone: 323-426-6402
  • Fax:
Mailing address:
  • Phone: 661-332-6563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2355S0801X
TaxonomySpeech-Language Assistant
License Number6440
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: